Our recent poll on the 2020 resolutions for your interventional practice showed encouraging results. Your choices show that the strongest plan is to use fractional flow reserve to assess intermediate lesion severity. The next three have equivalent weight and represent important outcome improvement resolutions: intravascular imaging to assess effectiveness of stent deployment, cardiovascular risk-modifying strategies post percutaneous coronary intervention, and an interest in learning subclavian access for alternative access for large bore devices.

Unknown is whether low responses reflect prior adoption of the strategy, thus not a needed resolution, or a lack of interest for the category. Examples of low responses include complete revascularization for multivessel intervention, plaque modification before stenting in heavily calcified lesions, and ultrasound for large bore access. Other unpopular responses may represent areas in which the information to support the decision may be limited or dissemination of the concept limited.

As always, this is a small snapshot of current practice but certainly interesting and perhaps a useful barometer of clinical thoughts. Thanks to all who participated. Comments are appreciated.

Clinical Topics: Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Interventions and Imaging, Angiography, Nuclear Imaging

Keywords: Angiography, Coronary Angiography, Fractional Flow Reserve, Myocardial, Cardiovascular Diseases, Risk Factors, Percutaneous Coronary Intervention, Stents, Plaque, Atherosclerotic

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